myCGS

Claims

Medicare Secondary Payer (MSP) Claim

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When "Secondary" is selected at the top of the claim, the form will display a "Patient Relationship to Insured" field and "Insured Information" section located further down.

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Under "Miscellaneous Claim Information," additional fields will display. Be sure to identify the Insurance Type Code.

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NOTE: Refer to the Eligibility/MSP section of this user manual to locate the Insurance Type.

  • Enter line items individually.
  • MSP claims will display "Primary Insurance Paid Amount" and "Adjudication or Payment Date" fields.
  • Reason/remark codes from the primary insurance explanation of benefits (EOB) are required in the "Line Adjustments" fields.
  • Click "Add Line Adjustments" after entering each line item.
  • Select "Edit" to make changes or "Delete" to remove line items.

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  • Under "Secondary Line Items," the date, procedure code, modifier, and units fields will auto-populate based on the data entered above.
  • Complete the place of service, diagnosis pointer, charge, and other applicable fields.

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  • Click "Add Line Information" after entering each line item.
  • Select "Edit" to make changes or "Delete" to remove line items.

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  • Enter the "Patient Amount Paid" ONLY when the patient paid for the service prior to submitting the claim.
  • Enter the name of the person authorized to submit the claim on behalf of the provider. This will serve as an electronic signature.
  • Also enter the amount paid by the primary insurance.

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NOTE: The primary insurance EOB is NOT required. Include any attachments needed to support allowing the service(s) submitted.

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